<include file="../header" />
<body class="J_scroll_fixed">
<script type="text/javascript" src="__ROOT__/statics/js/ajaxfileupload.js"></script>
<script type="text/javascript" src="__ROOT__/statics/js/ueditor/ueditor.config.js"></script>
<script type="text/javascript" src="__ROOT__/statics/js/ueditor/ueditor.all.min.js"></script>

<script type="text/javascript">
    $(function () {

    });
</script>
<div class="wrap jj">

    <div class="common-form">
        <form method="post" class="form-horizontal J_ajaxForm" action="{:U('company/notifyCompanyPost')}">
            <fieldset>
                <input type="hidden" name="id" value="{$id}" />
                <div class="control-group">
                    <label class="control-label">标题:</label>
                    <div class="controls">
                        <input type="text" class="input" name="title" value="">
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label">订单编号:</label>
                    <div class="controls">
                        <input type="text" class="input" name="orderNumber" value="">
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label">订单金额:</label>
                    <div class="controls">
                        <input type="text" class="input" name="price" value="">
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label">服务项目:</label>
                    <div class="controls">
                        <input type="text" class="input" name="serviceName" value="">
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label">服务人数:</label>
                    <div class="controls">
                        <input type="text" class="input" name="count" value="">
                    </div>
                </div>
                <div class="control-group">
                    <label class="control-label">总结:</label>
                    <div class="controls">
                        <input type="text" class="input" name="remark" value="">
                    </div>
                </div>

            </fieldset>

            <div class="form-actions">
                <button id="send" type="submit" class="btn btn-primary">发送</button>
                <a class="btn" href="__URL__">返回</a>
            </div>
        </form>
    </div>
</div>
<script src="__ROOT__/statics/js/common.js"></script>
</body>
</html>